Enhancing HIV Care: Impact of Retention and Support Programs
Explore the critical role of retention in care and support programs for effective HIV care, focusing on the Ryan White model and its success in improving outcomes such as retention rates, viral suppression, and patient insurance status. Understand the essential components, sustainability factors, and the significant influence of Ryan White funding in supporting HIV care clinics across different regions.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Retention in Care: An Essential Component of Effective HIV Care Andrea Weddle, MSW HIV Medicine Association Executive Director aweddle@hivma.org (703) 299-0915
The Ryan White Model Works Based on a convenience sample of 8 Ryan White-funded Part C programs ranging from the rural South to the Bronx 100% 97% 90% 90% 87% 80% 75% Retention Rates 70% Viral Suppression Rates 60% 50% National Retention Rate: 37% 40% 30% National Viral Suppression Rate: 25% 20% Source: Barbara Gripshover, MD. Medical Director, John T. Carey Special Immunology Unit, University Hospitals Case Medical Center, Cleveland, OH.
Program Sustainability -Access to Care -Ryan White -Public & Private Coverage -Provider Reimbursement Healthcare Team -HIV/Primary Care Provider -Specialty Medical Care -Clinical Pharmacist -Care Coordinator -Oral Health -Nursing Service Delivery & Integration -HIV Testing -Linkage to Care -Engagement & Retention in Care -Access to Rx -Medication Adherence Support -Medical Case Management -Co-located Social Services -Public Health & Community Agencies Support Services -Alcohol and Drug Tx -Drug Assistance -Housing -Legal Services -Secondary Prevention Counseling -Nutrition Counseling -Pharmacy -Psychosocial -Mental Health Patients -Adherence to Rx -Adherence to Care -Enhanced Quality of Life -Improved Immune Status -Risk/Harm Reduction -Virologic Control Quality Improvement Performance Standards Practice Guidelines Electronic Health Records
The Role of Ryan White in Supporting Effective HIV Care: Data from a Part C Clinic in the NE Patient Insurance Status Program Revenue 6% Private Insurance 25% Medicaid 25% Ryan White Funding Third-party Revenue Medicare 36% Other Public 7% 75% Other Insurance No Insurance 10% 13% Unknown 3% Source: Ryan White Part C Grantee, Federally Qualified Community Health Center.
The Role of Ryan White: Data from a Part C Clinic in the Mid-West Patient Insurance Status Program Revenue 10% 20% 31% Hospital Support 26% Medicaid Uninsured 64% 29% Medicare 20% Privately Insured Source: Ryan White Part C Grantee, Academic Health Center.
Whats Needed Care Systems Integrated networks of community-based service providers, social services and medical providers and clinics Care Financing Coverage of comprehensive medical and support services by private plans and Medicaid Shared goals, formal relationships and information sharing Reimbursement based on the actual cost of care Co-location when possible
